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A comparison of colorectal neoplasia screening tests: a multicentre community-based study of the impact of consumer choice

Allan D Spigelman
Med J Aust 2006; 185 (4): 237-239.
Published online: 21 August 2006

To the Editor: Australia’s imminent bowel cancer screening program will revolve around the general practitioner,1-3 whereas, in the United Kingdom, the GP will have virtually nothing to do with the national screening program now underway.4 It is curious that two programs with the same evidence base regarding effectiveness should be so fundamentally different. One explanation could be the differing health care systems in each nation. However, they are more alike than not, so the true explanation for the Australian methodology could rest with the outcome of the Australian pilot studies.

  • Allan D Spigelman

  • St Vincent’s Clinical School, University of New South Wales, Faculty of Medicine, Sydney, NSW.


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